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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157202442
Report Date: 02/15/2024
Date Signed: 02/15/2024 11:44:34 AM

Document Has Been Signed on 02/15/2024 11:44 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:ENDEAVOR IN THE WESTFACILITY NUMBER:
157202442
ADMINISTRATOR:ESPARZA, DANIELFACILITY TYPE:
735
ADDRESS:8114 RIVER HAWK LNTELEPHONE:
(661) 588-8966
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY: 4CENSUS: 3DATE:
02/15/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:52 AM
MET WITH:Daniel EsparzaTIME COMPLETED:
12:00 PM
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On 2/15/24, Licensing Program Analyst (LPA) M. Medina conducted an Annual Required inspection. LPA met with Administrator, Daniel Esparza to conduct facility tour and record review.

Currently, there are three (3) residents in care. Facility tour conducted. Facility observed to be clean, odor free, and a comfortable temperature. All common areas have adequate seating available for residents. Facility observed to be well lit. All residents have private bedrooms. All bedrooms observed to have required furnishings. Resident bathrooms toured, all fixtures observed operational. Water temperature measured at 116 degrees F. F. Kitchen toured, LPA observed a 2-day supply of perishable food and a 7-day supply of non-perishable food. All knives observed to be locked and secured and inaccessible. Medications observed to be locked and secured in medication cart. Medications reviewed and observed to have original labels and be administered as prescribed. All cleaning supplies are locked and secured in garage, additional cleaning supplies observed to be secured under kitchen sink. Smoke detectors and carbon monoxide observed to be operational during today's inspection. Fire extinguisher present with a service date of 11/07/2023.

Outside of facility toured. All exits open free of obstruction, no hazards observed.

Administrator to submit the following to Fresno Regional Office no later than 2/29/24: updated LIC 308, LIC 500, LIC 610, LIC 9020, and surety bond.

No deficiencies cited during today's visit. Exit interview conducted and a copy of report provided for facility records.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 02/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/15/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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